Organization · Type 2 NPI

Hennepin Healthcare System, Inc

Community Based Hospice Care Agency · Minneapolis, MN

NPI number 1639543036 Active

Practice location

2000 Summer St NE, Suite 100
Minneapolis, MN 55413-2648

Call (763) 531-2424 Map

Fax (763) 531-2422

Mailing address

701 Park Ave, P1-FINANCE
Minneapolis, MN 55415-1623

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	369767 (MN)

Community Based Hospice Care Agency: Definition to come...

2 other providers at this address

Julia Endres-Spray, RN PHN MAHome Health Registered Nurse Minneapolis, MN NPI 1417358946
Nancy Hickerson, BSRN, PHNRegistered Nurse Minneapolis, MN NPI 1679938138

Other community based hospice care agency providers in Minneapolis

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NPI record

NPI: 1639543036
Entity type: Organization (Type 2)
Issued: Nov 23, 2015
Last updated: Dec 7, 2022
Status: Active
Subpart: Yes of Hennepin Healthcare System, Inc

Other names

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Hennepin Healthcare Hospice · doing business as

Authorized official

Mr. Derrick Hollings
CFO
(612) 873-5340

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639543036

Hennepin Healthcare System, Inc's National Provider Identifier is 1639543036, issued on Nov 23, 2015. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 7, 2022.